Amanda Marie Balsalobre, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

3119T Issued in OR

Practice address

762 E 13TH Ave
Eugene, OR 97401-3778

Phone

(541) 343-3333

Fax

(541) 484-5578

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Marie Galster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1184615981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19711 DARTMOUTH AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023007",
            "telephone_number": "541-556-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013778",
            "telephone_number": "541-343-3333",
            "fax_number": "541-484-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSALOBRE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "3119T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GALSTER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason D Ball, MSPT
• Samantha Ball
• Denise Louise Ballenger, RNFA
• Robert J Ballman, M.D.
• Breanna Ballweber
• Elizabeth Balskus
• William R Balsom, MD
• Abbie Baltzer, LMT
• Jeanne Bandong
• Andrea Banfield

• Corneal and Contact Management Optometrist in Eugene, OR
• Providers in Eugene, OR by specialty
• Corneal and Contact Management Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.